Individual
MR. ADAM CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
120 LAUREL ST, DUXBURY, MA 02332-2936
(617) 620-8588
Mailing address
120 LAUREL ST, DUXBURY, MA 02332-2936
(617) 620-8588
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
312
MA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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